POCT- Troponin

NancyNurse27 · Mar 6, 2012

We use i-stat. The doc's hate it and it doesn't seem to be very reliable.

Does anyone use POCT-Troponins in their ED, if so what company?
Thanks

boyfactory · Mar 6, 2012

My old ED used Biosite and I loved them. I was disappointed when I transferred to another hospital in the same system and they did not use them. It takes an hour for a troponin now vs the 15 minutes from the Biosite.

psu_213, BSN, RN · Mar 6, 2012

We use I stat for all of our super stat labs. A new core measure requires a troponin result in a certain amount of time. Rather than a 'serum' troponin (run off the SST tube), we now send them to the lab in a green top tube and the lab runs an I stat. For a short time before we had all of our initial troponins "I stat-ed" we ran both the serum trop and the I stat and it was decided that the I stat was sufficiently accurate (and, no, I don't have the raw data for that, and I don't know if there were any significant differences between the two methods).

kkingsleybsn · Mar 7, 2012

Istat

triageguy · Mar 8, 2012

Thanks for the info!

cpcnurse · Mar 30, 2012

We use Biosite. For every critical received bedside, we have to get a lab verification. The problem with it is that the Biosite critical is set at 0.05 and lab is > 0.15. However, we do look at clinical presentation. We had a guy today where his bedside was 0.06 and lab was 0.22. He looked SICK. We refused him from being admitted to the CPC against the ED physician's will and called the cardiologist on our own. His next set drawn 4 hours later was 9.5 with 100% occlusion to his proximal LAD. So really, you can do bedsides, but you still have to rely on your instincts.

Roy Fokker, BSN, RN · Apr 4, 2012

We discontinued the I-stat many months ago. The Docs never really trusted it.

Now we rely on lab.

On the really critical patients - no labs --- just presenting symptoms, Vital Signs and EKG! :-)

cheers,